It has been a Long time (Finally...it is continued)

I've just realized that my post for june was just one!
Absolutely different with may 2006.
What was happened in june?
First, it was about my paper to makassar. I always thought about it everytime..
2nd, I have many patients...
3rd, my colleagues and I were busy hanging' around..
4th, I came back to padang and was busy...again with the paper and duty day..
So the biggest problem was about my paper.
My paper was about a case of a female infant that had an atresia of her small bowel part. The type of atresia itself was the rarest one in the world (popular as christmas tree deformity). In international journals that use english as the languange, only 155 cases were found of this kind of atresia since 1961. It was very hard to look for the literatures, to start writing it down (because you were disturbed by the patient's problem in the ward...), but finally I was finished it....And I went to Makassar bringing my poster with theme : Christmas tree deformity. But of course there were many exciting topics in makassar since this was a big meeting of surgeons around indonesia, like face off in Surabaya (tough the name of operation itself is still being a controversy among Indonesian's surgeon, especially the plastic surgeons).
2nd..busy with patients...hmm..I think I shouldn't talk about it too much, because this is just the routine part of my life.
3rd...busy with friends! My colleagues were busy with playing the balak and watching the world cup! Since we lived in Bukittinggi and no legal SCTV's relay station, so we have to go to the cafe watching the world cup. The playmaker of the balak was my colleagues from UNPAD, Armia, MD. He was originally coming from Aceh, but grown up in Surabaya that makes him very fluent speaking javanese (tough he understands Aceh languange very good too, since he spent his PTT time in Pidie, Aceh). He was very happy playing the balak, because he never found this in Bandung..hehe..(I think someday if I visit him, I will bring the balak for the gift..hehe..). And this man was meeting right partners to play, my friend Ihsan,MD, Co assistant Adi and his police friend Ardi...
Because I have problem in writing down my paper and i love watching soccer too, so almost everynight we went to a small cafe, watching soccer game, playing balak and typing my paper!
A day before my leaving for bukittinggi, we play balak together until 3.00 in the morning...wow!very tired that I also had an operation from 9.00 to 4.00 in the afternoon at the next day! So when I was coming back to Padang at the night, about 1/3 part of my way to padang, I was asked my parents to change driving, because I was very tired...
At the next day I came back to my beloved hospital in padang, RS Dr.M.Djamil..
Finally I close my Bukittinggi experiences!
Bye-bye Bukittinggi!
See you someday!

Oops...

My new section after the bukittinggi section is Urology, a part of Surgery Science which is about urinary tract. I have a patient who is going on for chemotherapy now. My senior told me to control the fluid balance of the patient. So I waited at home and cameback to hospital at 20.30, bcoz the nurse' shift hour will be ended at 21.00 for the sake of making a clear order to night's nurse.
After checking and making the new order to the night's nurse, I decided to go back home. So I walked to the parking park and looked for my car. A little bit worried since I have a bad memory of my car position.(I always have this problem. I am a forgetful person that after getting back from Bukittinggi, I was forgotten my home's phone number...hehe).
Finally I found my car!
So I opened the door and started the car, But too bad!
The steer was locked and I was getting frustated to open the lock.
I decided to play the music in order making myself relax.
And....My tape was gone!
And there was something wrong about the car...there were cutter and strange buttons...
Oh my God! I said to myself at that time.
A thief has stolen the tape. So I decided to go out and walked to the hospital's employee or security.
After 25 metres....There was a phenomenon that made me want to scream!!
My car was stood exactly in front of the emergency building!
SO WHOSE CAR THAT I WAS OPENED JUST NOW???!!!
AND HOW COULD I FORGOT THE PARKING POSITION THAT I WAS MADE???!!!
So I walked to the 2nd car (This was really my car), opened it, the tape was not lost and started it, drove back home...
Oops!
And I was laughing out loud!
Again I became a forgetful person!

* The car above is my father's car. My car was re-painted, so I can't use it for 2 weeks.
* This story shouldn't happen if I know the police number. But again, my lack of memory's ability is VERY GOOD, even my home phone's number could be forgottten!
* My biggest worried about the lost of the tape was about my SOUL ASYLUM's cassette.
It was a gift of my sister that I love the song much (MISERY), also I was worried if the cassette is not sold anymore at the shop.

It has been a Long Time

When did the last time I wrote for my blog?
May 25th 2006.
Today June 13th.
19 days!
I was very busy..
I was panic..
And seriously being affraid because I haven't finished my writing for MABI (Musyawarah Ahli Bedah Indonesia) in Makassar, July 3th-8th 2006..
MJ, MD had come back to Bandung. Actually he visited his wife in Solo, because of the earthquake in Jogja.
And come...Mr.Armia Indra, the Acehman who seriously like playing the Balak! (popular as Batu playing)
He is very hunger of playing this game that only in Warung Aceh he can play this game.
Nobody in Bandung like playing this game..hehe..
And now he plays this game every night..
(to be continued)

Two Weeks More

I've just realized two things that is important. I never go back to padang for almost 4 weeks and my duty here will be finished 2 weeks again. I begin to like Bukittinggi though I miss the life in Padang. 3 days ago my friend alwin was visited his wife (The Resident of Dermatology Departement) who is having duty for 3 months in Bukittinggi. There are so many things happened, bad, good, sad, happy things. But I hope with this duty in Bukittinggi I can gain many experiences that useful for my education...Ganbarre!

PS : Mungkin gara-gara whinning di blog kebanyakkan pasien (I love monday & the patient inviter), 2 minggu ini justru pasien jarang..hehe. Jadinya bosen n' bawaannya pengen jalan terus (Ga tau juga mo ngobrol apa lagi di blog..) Paling asyik jalan kaki malem bareng temen2. Banyak lampu kota dan ga panas. Untung temen2 gue (david, dokter jaga triage n' bang jadid, residen ortopedi) juga suka dibawa jalan malem. Padahal ujung2nya cuma ngobrol di warung2 tenda..(gara2 kemaleman ga ada yg buka lagi..).

Night Walking

This week there are new Co-assistants or the students who have their senior clerkship in Surgery department. My consultants said that my task is giving them a tutorial. So during this week (They came at Wednesday completely), every night I try to teach them about the basic surgery, especially about the trauma's science itself. Basically I teach them the ATLS (Advanced Trauma Life Support), what should they do if they get a trauma patient. Also how to treat the patient, in emergency room or in the ward...
Last night, after having a night walking with MJ, MD and DV, MD, I was slept at 3 AM and wake up at 6 AM this morning. Then at the afternoon I have an operation until 6 PM. I checked my patient in the ward at 7.00 PM and gave them a teaching about surgery again at 8.00 PM until 10.00 PM. And my eyes still feel hard... to close! One of my bad habit is sometimes I feel imsonia. So I took them to walk along the Chinese town, The Big Clock (or Jam Gadang), drink "Skoteng" together and play internet..And..until this 12.15 AM I still feel unsleepy (though actually I never had any rest for today from 6 PM). I think the main cause of this problem is I haven't any patient for today in Emergency Room (that usually I always busy with the patients)
Hmm, I think I have to come back to the hospital. I am maybe "strong", but those co-assistants need sleep..hehe..

* Photo above is Jam Gadang (Big Clock) at the night
* This is the situation of the emergency room when it was empty..

Long Week End 2nd Part

Last week, there was no operation at Saturday, though I waited for it for the whole day. The day after it, I talk to the nurses, that I can't go to Padang since my Consultant asks me to stay here for the week end, but I really want to go for a while. I feel crazy just stay in the hospital for 24 hours in a day. Then the nurses said to me, why don't you go a while. If there's a patient, we will call you. Of course this is not the first time I went outside the hospital. Sometimes I left it for the internet cafe, market..but this time I want to go a little bit far, outside bukittinggi !(For the sake of keeping my promise to rizki my friend, asking his senior go around) So it's kind of gambling. If there's a call I have to go back wherever my position is. I asked MJ, MD if he can go or not ("Have you gone to Pagaruyung palace? Wanna go?"). Then he said, I have no operation. So I made a plan that my times is just 5 hours to go to Batusangkar and to get back to Bukittinggi. This target came from my senior SY, MD's experience that he was taken the resident Orthopaedics of Padjadjaran University to Batusangkar previously and spent times for 5 hours.
This was a gambling and we want to try it.
Firstly I drove slowly, because I almost forgot the way to go it. I was affraid of taking the wrong way. So our journey to Batusangkar took times for 1,5 hours driving. Then we arrived at the Pagaruyung palace and took some photos there. Then we went to "Batu angkek-angkek" (The Lifting Stone) that famous for this believe, If you can lift the heavy stone smoothly, your wish will come true..And MJ, MD was tried it and..fail!Hehe..
Then on our way of coming back home, MJ, MD got a phone call of the hospital. There were two patients of Closed fractures. MJ, MD gave the instructions through phone of kind of examination, initial treatment and of course promised to get back earlier.
I spent 30 minutes driving from Batusangkar to Padang Panjang, where we ate at the famous satay in it (Mak Syukur Satay, where SBY had also eaten there). Spent 15 minutes there and then drove to Bukittinggi and spent times for 15 minutes. So I spent totally 45 minutes of driving from Batusangkar to Bukittinggi.
Thank God, when we arrived, they have just finished the whole examinations like X-Rays and Blood examinations.
So the conclusion was..we won this gambling.
And those are some photos from Batusangkar.

Photos are :

1. Rangkiang (The house of keeping rice from the front side)

2. The Pagaruyung Palace from the Right Side

3. The situation inside the palace at 1st floor

4. The Lifting Stone

5. The Garden of Pagaruyung palace from the 2nd floor

6. The front side of Pagaruyung Palace with MJ ,MD stood in fron of it

When We Were Crazy

I was having two operations. Then When I was cameback from the operation theater at 11 PM, I met my friends MJ, MD and DV, MD (triage doctor in the emergency room). We talked much and laughed together. After an hour, MJ, MD talked about going outside the hospital. Then three of us were going outside. I talked about how about visiting the internet cafe because I haven't visited it for five days. Then after ate at one of the warung tenda along the chinese town (that near our hospital, that also famous for its cafes and the night life), the internet cafe was still open! (actually almost close). DV, MD talked to the person who owns the cafe that we want to play in it. The computers then were activated again..
And here I am !
Typing this one..

PS : There are so many topics I want to talk. But I promise to my friend that I come here just for checking the email..
* DV, MD is at the left side of the photo and MJ, MD is playing the computer

Long Week End

Again, I spend my week end in Bukittinggi.
This time I get a special request from one of my consultant to stay in Bukittinggi because He has to go to Pekanbaru. Friday and Saturday, also for this Sunday is his consultation day.
This led my father and my mother to visit me in Bukittinggi today.
Actually yesterday I was having a plan with my orthopaedics' colleague, MJ, MD to visit The Pagaruyung Palace in Batusangkar, but there is also another reason that makes me staying in hospital. There is a patient that has to be observed before an operation. So I have to be ready for an operation for along the day.
Yesterday I was talking many things with MJ, MD (who also has the same hobby with me, visiting the internet cafe. Maybe he has a chatting with his wife that lives in Solo right now). We were talking about our surgery's life. The life of The resident in Bandung, in Padang, the cases we have gotten during the education also about the daily life of the resident of surgery. We came to the same conclusion that our life is different than others. Less sleeping, working and spending time for the patients, or in short, we have no special or regular time like other workers. We work for 24 hours... I think our life is a miracle, he said. I talked to my friends from different field of job and they said, how could you live like in that way? But, this is our life, no matter how hard it is, the important thing is you are enjoying it.
When I was in my senior clerkship, I asked the Resident of Surgery, ID, MD (Now he is our Chief of The Chief) about the Surgery. He said, you have to be ready to leave your family. When I wanted to undertake this education, I said to my wife, from this time you have to struggle alone, because I'll be busy with the education. And I also talked to big family that I'll be busy that maybe makes me rarely contacts with the big family. Then, he continued, one day my son was getting sick, I was really busy, then I talked to my wife, took him to the doctor..
I saw and live with the surgery's life right now. I know that my senior words' years ago is not as true as he talked. His relationship with his wife, his sons are still close enough.
Again, this is our life.
The bitter thing about surgery is : " Surgery is number one and the family is the second"
Many doctors will think twice before seriously choosing Surgery.
There are also other doctors that have not regular schedule like Obstetrician and Gynecologist and the Anesthetian.
You maybe think what's the reason I always talk about my life.
I just other people outside there know, never give up to the hardest thing you have in your life. Life is about struggling the game that God has created before. Each person is different to each other and that is why we have to contact to each other. If this is the soccer game, you have your own position in the field...
And this is where I have to stay. In this long week end I stay in a place called as the hospital. Spending my valuable breath for the duty day..

*My mother was just called me that she has arrived in Bukittinggi. So, I have to finish this and comeback to the hospital... See ya!

Massage and Alternative Medicine

I got this strange case.
When I was having an appendectomy, the time when I was opened the peritoneum, there was a bleeding from the inside of the abdomen..
I asked my assistants, did I cut something?
Both of my assistants said, No.
So I was explored the abdomen, not just for finding the appendix vermiformis but also to find the source of the bleeding.
I found both of them.
And the bleeding came from a little spread of the serosa part of the colon.
The appendix vermiformis was not perforated as I and my consultant were thought before (Since the leucocyte level was 18900/mm3 / very high..).
So after the operation I asked the patient, a-9 year-old boy.
Did you have a massage on your abdomen?
He answered Yes, ...... (*not proper to mention his name) did it. Because I felt pain on it.
So, I called her mother and asked again the same question.
His mother told me that the kid felt pain at the lower right part of the abdomen after playing soccer, so she thought It was a trauma then she brought her child to have a massage..(actually the pain was caused by the process of appendicitis)
Then I got another patient who had a blunt trauma after a motor-cycle accident. He felt pain at the upper left part of the abdomen. He was having a massage 3 times at the part he felt the pain. After three days his condition was getting worst and his brother took him to the hospital. I made a Von-Slanny test to him also checked his abdomen tenderness. I suspected there was a massive bleeding was caused by the rupture of intra abdominal organ. When we opened his abdomen, there was a rupture of the spleen and we did a spleenectomy on this patient.
Again, the common people treated pain on their abdomen by having massage.
This is the last example. When I was having my senior-clerckship in Obsteric and Gynecology Dept. there was a case of the death of fetus. The mother of this fetus was having a massage during her pregnancy. The residents said, it is common thing in Countries or Kampungs that people like to massage the abdomen during pregnancy...
This mother and other mothers from the kampungs were never realized or known that massage would give a trauma of vessels that could be the cause of fetal-death during pregnancy.
I was visited the Internal medicine's Ward because I was gotten a consultation from there. I was asked the nurses there to have a USG and thorax photo for this Mammae Carcinoma's patient to determine her Cancer stage. But then I got this news that the patient was dead last night. So I told the nurses, she was in the terminal stage. This patient was refused an operation 2 years ago and tried to have an alternative medicine..that never cured her..
There are many of cases of patients that refused to have a surgical treatment,then tried an alternative medicine. They came again to surgeon with terminal stage that made us can't cure their disease with our best efforts. Some were getting better by handicap (usually fracture's cases), some were died.
My Oncology consultant said, there are good news in the magazines of people that getting better by alternative medicine and other people that thought they have same disease, decided to try. It seemed that alternative medicine was succeded and modern medicine treatment did nothing. But there wasn't any record that people came to doctor after having a terminal stage after trying so many alternative medicines (That actually their number is bigger than the succesful ones..)
I don't refuse the alternative medicine, because there are so many misteries of the health itself.
I agree with China' s people who combine their ancestry knowledge with modern medicine.
But something that come to my brain is (from my surgery's background) :
Why people was really scared with the operation?
Why this can be happened?
If someone out there can answer this question..

The Patient Inviter

The nurses at the ward always said this words to me..
Dr. JINI 's patients is many in number..
(Hmm, they named two of my seniors who also have many patients)
Then the nurses in Emergency said, you always have patients! YOU ARE THE PATIENT INVITER..

Hehehe...

In Padang I got that name also.

When I was having my duty day for every two days, I almost never slept for 32 hours and of course in a duty day you were very buussyy..Walking around the emergency. Only a few time you had your seat..(That the thing that made my leg muscles became hard rapidly).
Then When I was entered the team and had the duty day for every four days, having juniors And my position was changed from person who made the preparation of patients in Emergency to Second assistant in an Operation. So if I finished my operation, I went out and checked the situation in Triage.

Then there was this phenomenone.

There no patients. But then came patients..
It was always be happened.
And then the nurses started to say these words to me.
EVERYTIME YOU SHOWED UP IN TRIAGE, THE PATIENTS THEN CAME. BUT WHEN YOU WENT AWAY TO THE OPERATION THEATRE, THE PATIENTS WERE STOPPED COMING...you are the patient inviter!

So everytime I showed up in triage then the nurses, my juniors would begin saying.."don't come here!" My senior also noticed this phenomenone, so every time I sat in Triage, he then asked me to go to outside the triage. He said, you have good luck of many patients! Never sit in triage!
The nurses in the operation theatre also said this word to me..
"C'mon Jini. Just sit here. If you sit in the triage, we will have many operations.."

I don't want to believe this phenomenone. And it was not always true..BUT MOST OF IT, was true!
God!

I Love Monday

The first idea came to my brain on Monday morning was...I LOVE MONDAY!
I always love Monday in Bukittinggi. Because On Tuesday there is Duty Report, Parade of Patients, Wednesday and Thursday for Operation, Friday..again duty report and Parade.Hmm, Saturday, I don't know, I always hate Saturday. Maybe because I work hard for five days and feel tired at the sixth day. I always lose my creative ideas on Saturday. So I will take a nap on Sunday and Here it comes Monday...I have no big works to do! I love Monday!
But, at this monday..was really a big day.
I visited, made reports of my patients, made and answered consultations..and I was finished whole of them at 11.57 AM. So I asked the nurse, is there something left? No, You have finished whole of them. I was very happy. I wanted to go to Pasar Atas and Looked for some comics. But at the 12.30 PM, there was a call from Hospital..
DOC, YOU HAVE TWO PATIENTS. SUSPICIOUS OF ACUTE APPENDICITIS AND INCARCERETE HERNIA.
God!
I was busy on my weekend. I spent my holiday with working. And again..patients!
(Be patient Jini, your duty day is 7X24 hours in a week...)
So, I came back to the hospital. Checked the patients..and came again two patients ILEUS OBSTRUCTIVE and UMBILICAL HERNIA SUSPICIOUS INCARCERETE..(Totally four patients). I was finished making reports, consultations, preparing for operation at 6.00 PM.
I came back to my room and prepared myself for the operation. Ate my dinner and took a bath. Then I went to the operation theatre and came back from this place at 12.00 AM with report from Emergency room...DOC YOU HAVE THREE CONSULTATIONS...Oh GOD!
I Finished checked and made reports at 1.00 AM. I slept and wake up with feeling of worried.
MY NEW PATIENTS IN THE WARDS. I HAVEN'T MADE MY REPORTS FOR THEM.
I finished writing very quickly....
And when I was having my parade..AGAIN!
DOC, YOU HAVE TWO CONSULTATIONS FROM EMERGENCY..
I checked them and made the report. Prepared them for operations..
Then When I was consulted them to my consultant..the answers was...HMM, I think they have to be observed first..
God! Finally I can go out from my this busy life.
I don't hate any situation if I have to be busy. I always feel happy if there is an operation.
But this time..I am just a human who needs a spare time. Please give me a chance to spend this little times just for myself...
HEHE...
(Finally, I visit the Internet cafe and type for my blog)

* I got a SMS from my friend Rizki in Bandung. He asked me to accompany his senior MJ, MD to walk around Bukittinggi. And I talked to MJ, MD, How about if we visit Batusangkar or Maninjau lake? Then he answered, Yes I'd like to. But in the end both of us, were having this feeling of worried..A phone call from Emergency! MJ, MD said..You know I just wonder, we were in our way then come this phone call..CONSULTATION FROM EMERGENCY..and we have to come back..Both of us were laughed. (Actually we don't have any spare times..Duty, duty, duty..my breath is the duty day..)

The First Time (2nd part)

Last Sunday,When I wanted to spent my whole day with typing for my blog and walking around Bukittinggi, I got a call from my colleague from Obstetric and Gynecology Department. It was a consultation on operation table to my department. I was going back to the hospital and seeing what happened to the patient. At the end we decided to send this patient to Padang since there are Digestive Surgeons there.
Again, I got this cliche question.
It was the consultant of Obstetric Department gave me the question.
And my answer was..I am the Resident of Surgery Department.
And He said..Hey this is the first time. I thought it was forbidden for woman to be the resident of Surgery. Like it used to be happened in our department.
My consultant answered this question ..Yes, Jini is the first one in Andalas University. But actually in Indonesia there are several of woman surgeons.
And the Consultant of Obstetric Dept. said..It was forbidden in 70s and 80s for woman taking 4 majors of Medical, Surgery, Obstetric and Gynecology, Pediatrics and Internal Medicine..
When he talked about this one, I just remembered to the story of Dr. Chaula Sukasah, Sp.BP. She is a Plastic Surgeon and the first woman in Indonesia who took Surgery. The pioneer.
Her father was the chairman of IKABI (Association of Indonesian Surgeon). Firstly when she said she wanted to be a surgeon, his father was not permitted her. There was this regulation, Surgery was prohibited for women. But then, his father colleagues persuaded his father and then Dr. Chaula became he first woman resident of Surgery.
And when I was came back, again this question was given to me.
They again asked how many people of woman resident in Padang. I said two. Me and my junior, TL, MD.
And they said why there are less of woman take Surgery?
And my answer was, because Surgery is the hardest one. Even man will think twice before taking it.
Don't you feel scared when you want to start an operation?
I answered with this sentences, I disagree if it is said woman is weak. We, women get menstruation every month. We see blood every month. Why we should be scared of seeing blood? If there are women who feel scared seeing blood, I think there are something wrong to her education. She was taught to be a coward. Why we have to be taught to be a coward? And why men have to be the brave ones?
And the women who offered me those questions were agreed with my statement.
You know, in my opinion, if you talk about power, of course man will be the winner. But if you talk about others than power, woman is the same with man. Both are human. God's creation.

Weekend in Bukittinggi (2nd Part)

I slept for about 2 hours after surfing and typing for my blog in the internet cafe. I was wake up at the maghrib time (An adzan wake me up. My hospital, especially my room, is very close to a mosque). Then someone was knocked on my door..."Doc, there's a patient waiting for you in the emergency room". So I went to the first floor and saw the patient. It was a 8-year-old girl with soft tissue loss. Fortunately she had fasted about 6 hours, so it was easier for us to operate her (for the sake of anesthetion). The problem of this operation was the loss of her skin on the tibial bone. The bone must be covered by skin or other soft tissue so we can keep them from necrosis. Also for the tendon, while in the other hand some part of her muscles must be cut down since it was necrosis. A the end we (I and MJ,MD) were succesful in covering her tendon and bone with the muscles. MJ,MD who is the resident of orthopaedics told me this girl will have a second look operation or more than that. Other thing must be done is the skin graft to cover her muscles. But of course we weren't do the skin graft last night. Only for debridement.
I came back to my room at 00.30 AM and read my animonster. I was bought them two weeks ago, some had been reading already, some were not yet. One of this magazine was discussed about "Haikara san ga tooru" or in Indonesian the tittle of this manga is "Miss Modern."Miss Modern was my first manga to be collected. I got volume 1-4 from my friends as my 14th birthday present. From that time I was started collecting mangas. Until this time, after almost 14 years, I am still collecting comics. Right now I am collecting Black Jack a comics about japanese doctor, DETECTIVE School Q-Class, Ruler of the Land,Vagabond(A Mushashi story in Comics' version)...There is an opinion that adult is not proper anymore to collect comics, watch cartoon movie..Like I am doing right now. One of my favorite TV show is Spongebob Squarepants. In Padang I watch this film almost everyday at 6.00 o'clock in the morning.
It is not false, but in Japan is a common thing adults collect comics too. Even there are porn's comics which is called as hentai manga (People in Bandung was started producing hentai in Indonesian version, by local comic writer). But there are also some comics that are not "hentai" but the story is about adult's life. In Indonesia "Level Comics" was the company which start publicating this kind of comics (for adult). One of them is Vagabond. It is an interesting story, especially if you have read Musashi.
I think I have to inform this since maybe some of you don't understand about comics..
How about you?
Are mangas interesting for you?
If, yes, you are also an OTAKU like me.
Ganbatte ne!

Week end in Bukittinggi (So Sleepy)

I was spent my first week in Bukittinggi by getting sleep. I was very tired because had less sleep during a week and had an opertion at he saturday from morning to afternoon. Then I had to control my patient in the ICU. At the Sunday, The triage doctor was called me at 3.30 AM, because there was an emergency patient. The second week, again I was busy and at the weekend I came back to Padang. Again my sleeping quality was not good enough, because in Padang I slept at 1.30 AM. When I came back to Bukittinggi, I had to drink a cup of coffee because I felt a little bit sleepy. And at the third week I always sleep at 1.00 AM or 2.00 AM everyday. last Night I was slept at 3.30 AM. Very Tired!
That's why when my father called me if I came back to Padang or not, I was telling him that I would spent my week end in Bukittinggi that gave my mother an idea to visit me at the Sunday.
Next week I will not going back to Padang again, because my consultant was asking me to stay since he has to go to PekanBaru at the weekend.
One thing that I miss is..GRAMEDIA!!
(I have to buy some mangas..hehe)
Talking about sleepy feeling, I remember to my first month in Surgery department. In the first month my duty day is everyday for 24 hours. I slept only 3-4 hours in a day. Sometimes 2 hours or not at all. The longest sleep I had at the time was 6 hours. It was on Sunday morning and I hadn't any patients. Of course I was very busy, because I was the most junior. The time I started to get sleep not because I felt sleepy (I felt it all of the time) but because I couldn't hear or focus my eyes to an object. In my spare times (if there weren't any patients and no duty from my seniors), I used it to get sleeping. Usually I slept on the table with my head on the book. Because I was very tired and sleepy, this kind of sleeping is a joy thing for me at that time. And at the second month until the sixth month, my duty day is every two days. I felt my life was a little bit normal...hehe..But still we felt sleepy because at the duty day you work all the day and the chance of sleeping before you had your duty day again is only in a day.
In Padang the duty day now is every three days for the second semester above (the member of a team). The most junior's duty day is every 2 days (And they aren't counted as a team member). And a team means you have to do the patients until they are placed in the ward. So the duty day will be prolonged sometimes until 2 days. You can imagine how luxurious is sleeping for us.. That's why, if we feel sleepy, sometimes we sleep about 10-15 minutes and since we are very tired, this less sleep gives us a very good feeling of freshness. I felt the same too. If I was very tired and waiting my patient for his coming back for taking the medicines or before starting an operation, I used it for a little bit sleeping. And usually it was worked! I felt some freshness after taking a nap..

* I'd like to apologize my Colleagues for being the models. These photos have no any bad tendencies. Only to show the public how luxurious is sleeping for the residents of surgery. I myself also the person who does the same thing too.. If there's any objection, I'll delete this publication.

hOw aN oPEraTiOn gOEs oN..

This time I want to tell you about an operation. This example is the simple one of an operation. Because, today there are so many sophisticated operation devices that make some changes of the configuration of the operation's team. Or it depends on the kind of operation, like Heart Surgery needs so many persons around the operation table.
The main actor of an operation is "the operator". He/She is the decision maker of an operation. What's the kind of incision, the technique that used, the tissue/organ that should be resected..Let's say, he/she is the captain of this team. An operator usually has assistants (commonly 2 persons,but can be more than 2 persons, according to type of the operation), that usually stand in the opposite side of him/her. So around the operation table, there are three person that standing. Next to the operation table, stand or sits an instrument. His/her duty is giving the operator the instrumentations he/she needs. So if the operator says.."Kocher clamp", the instrument gives it. But, if an operation is commonly done in the operation room and the instrument is usually getting involved, sometimes the instrument will give the operator instrument he/she needs before the operator says that. Like appendectomy or open prostatectomy . From each step to another step is very clear. So the use of the instrumentation is clear also. It is also happened to the assistants. If they were commonly getting involved into one kind of an operation, they know what the next step should do after this step (before the operator says that)..or if the assistants are having many experience, they will easily read what the problem on the operation table and try to make the operator easier to work.
All of the people I mentioned above are wearing sterile gowns.
There is another important person of an operation. This person is called as "the runner". He/she will give the instrument all of things that need by the operator. He/she will work very quickly, sometimes has to run! I think this is the cause why this position is given name as the runner.
The operator is a surgeon. The assistant can be a surgeon also or from the nurse. The instrument and the runner are the nurses.
Another important part of an operation is the role of the anesthesiology department. You can not start an operation before your patient is being anesthetic.
And other departments that also can be involved like..internal medicine, pediatric, Heart disease, Neurology. Sometimes there is a joint operation between two or more than two departments. Like Surgery joint Ophtalmology, if the patient has a trauma on eye.
So, to start an operation is not as simple as you think.
We are not slayers, though we work with sharp things too.
In other words, we work as a team and before we want to operate a patient, we have to prepare many things, that involving many persons from other departments. It is definetely a team work.

* The photo above is an example of an operation, with one operator, three assistants, one instrument and one runner.

My biggest Weaknesses (Right Now)

After staying in Bukittinggi for almost three weeks, I have realized that so many lacks in my capability to diagnose patients. Especially about appendicitis.The patient I have mentioned you before was not having any operation. It was an infiltrat appendicitis. Thank God I have my consultant besides me. This happened because Maybe I am still young in surgery and less experience. And God seems training me to improve my capability. I have two patients of Infiltrat Appendicitis now and during this three days I got five consultations of Suspicious Acute Appendicitis..Thanks God!
Today is Surgery Department's day to have an operation in RSAM operation theater. Our days are wednesday and thursday. My consultant gave me a chance to do an open prostatectomy! I was really shock and suddenly I felt very nervous that I couldn't control my scalpel and scissors. He took his position again to be an operator and finished the operation..
Tonight there will be an open prostatectomy again. This will be the 5th operation I've ever involved. I believe, next time he will leave me and let me do alone..
He said, open prostatectomy is a simple operation if we compare to an appendectomy..So he believes I can do that.
But still it's hard for me to control the bleeding. In appendectomy the bleeding is not as much as in Prostatectomy.
Yesterday, during an operation of bowel resection, he asked me if I have done a bowel anastomose. I answered, I haven't done yet. And he did the anastomose. But I have a strong confidence one day he will let me doing that thing...WOW!
The thing I did this morning was an excision of FAM, a benign tumour of a breast.
And I am happy I am doing this.
Before the operation, my consultant said that I have to train myself to work faster. Because the style of working today will be your style of working in the future. I keep his words in my heart.
During the operation, the nurse said something about my senior, YZ, MD.
Firstly she said, Doctor Jini, remember your consultant words..The I answered, Yes, I keep those in my heart.
Again she asked me, Do you know "BRS?"
"BRS who?"
"Barasiah (Minang word for clean) man.."
"Pardon, who?"
"Yevri.."
"Oh, Da yev.."
"He always said.."BARASIAH"..but actually what he did is always barasiah..You have to imitate his style and fast in working too.."
"hmm..yes. Of course"

Of course I always try to imitate the good things from my seniors. Always.
One day, one of my seniors, MI, MD, who is a surgeon now and take a special training of digestive surgery, called me. My friend made a mistake and we got his call.
He talked so many things.
But something in his words that I always remember until this now.
"You know, I always force myself to study an hour everyday. Even when I felt very tired. If I feel fresh, I'll study more than an hour".

Something that easily to speak, but hardly to practice.
I have stayed here for almost three weeks, but maybe I just read my books for15-30 minutes in a day. Sometimes nothing, because I was very tired.
This, again is my weaknesses.
My path to be a surgeon is still far away..
I hope I can get better and better everyday.

I got one sms from Oma, my friend yesterday. She had arrived in Aceh. I never reply hers, since I was having an operation.
I also have visited Yos' new blog.
Omedetou for your blog.
And Lucky not being arrested by Syariah's Police..
Hehe..

Hey, there's a call again!
(The hospital...)
Sorry guys, next time will be continue.

My way to Padang

I came back to Padang in the week end. The first place I went to is ....Gramedia. I was hunger for some mangas (japanese comics). I went from bukittinggi at 4.30 PM and arrived in Padang at 6.00 PM.and at 7 PM, when I was still in my car, driving, my mother called me and very worried... where are you? I am on my way back home. I was going to Gramedia..
(An otaku home is the bookshop..hehe...)
I visited the emergency building and met my colleagues..SO MANY CHANGES!
First, our band equipments was moved away to the new building (That I've never seen before, since I left Padang for Bukittinggi). THe duty day now is every 3 days..(wow, how tired)..I also visited my senior's home for borrowing books, YZ, MD...hmm,YZ,MD the surgeon. He gave me an advice, that I have to study better and better. I have to keep my health well, because my duty day in Bukittinggi is every day for 24 hours. Have a good sleep...how nice. Anyway, Thank you for the support and advice. Also For Aji, his wife that also my good friend since I was in Senior High School.(Aji and I were always in the same class from the first grade of senior high school until Medical school)
In Bukittinggi I met..again! one of the people who passed the test for government employee. I was downloaded System Of A Down's song from his mobile phone (And this song is my ringtone now). I wanted to download Helloween's Power too, but the memory stick is full enough.
So, during my staying in Bukittinggi, I have met 4 from 9 person who passed the test. the new news is We will get our registration number in this May 15th.
I was also buying new cassettes that became my companions in my way back to Bukittinggi, Superman Is Dead's Black Market Love and Alanis Morrisette's Collection. The Black Market Love is a cool song..
Also, there's a new Orthopaedics's resident from Padjadjaran University, MJ, MD.
We have went around at the night, showed him Bukittinggi scene and we have lunch in Uni Lis' Nasi Kapau which is very famous that SBY and The Prime Minister of Malaysia have had eaten there too.
What a busy day!
Hmm, I think I have to come back to hospital. May the Obstetric and Gynegology's resident have answered my consultation. (C'mon guys, don't let me do the operation at the night. I have to have good sleep..hehe..)
Jaa, mata aeru!

* I have gotten a call from the nurse that my consultation was answered. The conclusion is..Let's do an appendectomy tonight baby!
* This Sunset photo was taken at Padang Beach. The best time is about 6.30-7.00 PM.

The First Time

My new favorite hobby in Bukittinggi are visiting the internet cafe and moving away water from my neighbor's room to my room(water crisis)...hehe..
Today is my 11th day in bukittinggi. I like staying here, but tomorow I think I have to comeback to padang, some bussiness have to be finished and borrowing books from my colleagues.
I still remember when I firstly arrived in Bukittinggi and my senior, SY,MD who previously stayed in Bukittinggi, introduced me to the hospital's members, they were shocked seeing me, that I am a woman. They always said...this is the first time..(woman from surgery department comes here). In bukittinggi my duty day is...every day for 24 hours. I get off-day in the weekend, but my consultants here have a hope that I don't use my weekend too frequent..hehe..
So, when they called me via phone (usually by a connection from an operator) and I answered the phone, they asked me back, is this the number of Surgery's Resident? Then I answered, Yes. You are speaking to Dr. Jini. Then they asked again, "A girl?" I answered again, Yes. and they always ended their questions with.."This is the first time..."
I was the chairman for my class when I was in my 7th semester. I think I was the first girl in my medical school who was elected to be the class' chairman..(hmm chairwoman). When there were any problems about my class, my lectures always asked, where is your chairman?Then when I was showed up, they always asked back with question.."A girl?"
Also when I wanted take a drum class, my instructor said, "Is it you who want to learn drumming?"
Is it prohibited for a girl/woman, playing drum, being a chairman, being a surgeon?
Of course not, but women seldom do that, so the people see us, who do this, as a rare species..
I am not sure about this one, am I feminist or not.
When I was in kindergarten, 5 years old, I have a friend, a boy, who were very naughty, and always disturbed and made my friends crying. So, When I was saw him, I said like this to my heart, "You can make all of those girls crying, but not this girl." that words affected me much. When I was in Elementary School, If I have a friend who tried to disturb me, I fought him back. Sometimes, if I couldn't do at school time, I made a promise to meet him after school..hehe..
But, actually I have good relationship with the boys..I am not a man hater, but i just don't want to be dishonored.
When I was in Junior High School, I began to like rock music. And people saw me as a stranger. It was very rare at that time girls like rock music and my favorite were the hardest ones. I like Rock not to make myself becoming different with other girls. Because I like it. I still remember when i firstly heard Queen, in elementary school and I felt peace in my heart. So with my elementary school uniform, I went to the music store and bought Queen's cassette. I think it was not an usual scene in the '80s...hehe.
My Sister dislikes Rock very much..hehe.
When I was in the Senior High School, people still saw me peculiarly. One of my friend said, I really want to see the moment when you fall in love. Will you still play the rock music?
I also have a friend who just moved from Jakarta at that time and gave me a comment like this: Even in Jakarta I rarely saw a girl like you..
I never see myself, that I have to beat men, and being the first...But I like to compete with men, because people always said man is the strongest, woman is weak, so they can't do as best as man can do. It's true that woman is more weak than a man, if you talk about power. But in the quality of working, it is not true at all. If you want to have a good quality of working, you have to improve yourself quality, so it is very individual. That's why sometimes I work with two things in my head, to do the best I can do and show people, a woman can do this also.
Am I feminist with this goal of working?
(But I like surgery and rock, learning to play drum not to compete with men, just because I LIKE THEM from my heart)
I think the person who has a big role of my character is my father. My father always told me not to be affraid to anything and doing the best you can do in working. When I was told my father I want to be a surgeon, my father said to me, I think being an orthopaedist or urologist is the best for you. Then I said, an urologist? Don't you know that if I am being an urologist, I have to contact with my patients' penises? Then he said, it's not a problem, how about the men's Gynecologist? You are in the same position...My father is very cool..hehe..
My mother told me, that she was almost quitted her education in college when she was getting married to my father. Then father told my mother, you have to finish your education. And my mother finished it and continued it until she got her PhD. She is the first Woman professor of Andalas University's Animal Husbandry Faculty.
Maybe this kind of education has led me to be the first timer person, the stranger and whatever it is called..
But to say you frankly, I never feel what I am doing right now is something uncommon. It is other people always say to me..

Bukittinggi

Most of my seniors said, it is nice to have a duty in Bukittinggi. I realize it after almost a week staying here. During this time, I've done one debridement, seen and involved an operation of External fixation of open fracture in cruris, appendectomy, Laparatomy, Thorax tube-WSD and venous cutdown...Something I rarely do in Padang or just being as an assistant. It is just like this, in Padang you are taught and in Bukittinggi you are practiced it. The big question, why I don't feel any fear to do it? Maybe because I am alone, No seniors beside me, that makes me becoming independent?
This little bird is trying to fly high...and higher.
I hope Allah always protect me in my path. Ameen.
Something that makes me discomfort is my loneliness. There are not any of your friends, talking and laughing your foolness...when I think of it, I miss Padang. I don't feel any homesick..(an otaku like me always need comics/manga/anime. I 've bought many of them, so I always feel at home everywhere, if there are tons of comics there)...but something is lost. My friends in Padang.
I hope this loneliness doesn't affect my duty in Bukittinggi. I think I have to come back to Padang every week and visit the emergency building, seeing my friends..hehe.
I miss spongebob squarepants too..hehe. No Global TV here.
Let's talk about another topics.
My friend zora will go to Aceh to have a PTT.
I talk to Yos, that Oma (zora's nickname) is following him, because she is not letting her grandson (Yos) to be alone in Aceh..hehe.
Many of my friends go to Aceh to have PTT (like Yos used to do). Because the total times of PTT in Aceh is shorter than any places in Indonesia. The Regular PTT takes time 2-3 years, nut in Aceh it is just for 6 months! So many people are interested in going to Aceh.
It is different with me. I continue my education (General Surgery) not longer after my graduation (less than a year), but some of my friends delay their education and working in clinics or hospitals. Then when they want to continue their education, the centre they go need a requirement, like PTT, because they have graduated more than 2 years. That's why many people choose go to Aceh to have PTT, so they can comeback and continue the education sooner. That's what zora wants to do. But I think it depends to the centres they want to go. Andalas University is not strict about this.
Ooops..my time is over. Okay, I have to get back to hospital.
See ya next time..

*Appendectomy = popular in Indonesia as operasi usus buntu. Usus buntu's latin name is Appendix vermiformis

Water,water,water

No water in my room!
It has been two days!
I wanna take a baatthh..
...................................(10 minutes after this, Jini is lifting litres of water from another room to her room..hehe..)
I love my room in Achmad Muchtar Hospital. It is not too big, not too small. Ideal for one person.To say you frankly, this is not my first arrival in RSAM (the nick name for Achmad muchtar hospital). In my senior clerkship i was going to this place about 7 times. I was shared with other co-assistants, so sometimes there are 5-7 of us sleeping in the same room. Right now I am sleeping alone in my room. I got only lunch and dinner in my clerckship, but as a resident I also get breakfast. The weaknesses of my room is the bathroom. there is something wrong, so the water it's hard to flow to my bathroom...(sigh)

A gift

Hi there!
I am in Bukittinggi now. It has been three days.
The first experience I got two days ago was when I wanted starting an operation and washed my hands, I got a "Hibiscrub" shot to my left eye! ( I think it's not a pure hibiscrub, but a mixed between hibiscrub and savlon). I felt pain, itchy and hard to open my eyes. Then my consultant talked to me that I had to check my eye to an opthalmologist. The result of the 'Slit lamp' examination is...my eye is okay, especially is my cornea. He gave me 'xytrol', a corticosteroid agent+antibiotics. It was a gift for me..hehe..
I don't know how to describe my feeling right now. Wow, I am alone, without any guard from my seniors (It's not 100% true..). Actually I still can consult via mobile-phone. It's a little bit strange, but until this time still I can handle any kinds of patiets' problems in the ward.
I hope everything is okay for these 2 months..
Last April 17th was my brother's birthday.
I just want to say "Happy Birthday"..
See ya in the next post.

* Hibiscrub = anti bacterial+anti fungus, a liquid soap-like for washing hand before an operation
*Slit lamp = a lamp used for opthalmologic examination. You can examine any aspect of eye, like conjunctive, cornea, fundus etc

The Janitor Room

In emergency building, we have four rooms for the residents of Surgery. One is close to the triage, the others are far. one of them is the janitor room.
You maybe wonder what is the speciality of janitor room that i have to mention it exclusively. When I came firstly to the emergency building, many people offered me to have another room beside the residents', bcoz I was the only girl. How should I contact with the others that all of them are men. But I never did that. I put my things in janitor room. So the function of this room at that time was the room for residents' things, like handycam, LCD player, PC notebooks, camera, and our private things. There are lockers. So you can imagine how hectic was the room.
Then my urologic consultant, DE, MD bought us band instruments. The janitor room became very hectic and it was very hard to walk in it. My senior told me to rearrange the room. So when i was in my duty day (that time i was the most junior), i asked the doctor's assistants (who had clerkship in Surgery's department) helping me rearranged the room. I had to move away one of the two tables to another room and changed the position of the lockers. That move made a larger space for our band equipments.
We were busy with the band activities until the karaoke player came after Idul Fitri..
Right now, we have band equipments, karaoke player, but my colleagues prefer karaoke player to band equipments, maybe singing with karaoke is easier than to play music tools.
The photos above are... Singing the karaoke together, RO,MD and ZI,MD..on last Sunday. I myself joined singing..sang Air Supply's Goodbye, Maddona's take A bow and 4 Non Blondes' What's Goin' On (YEAH..!), A solo guitar from ZI, MD..still wear the operation clothes...Solo Bass from YZ, MD. Jam session from YZ, MD on the bass and The Rolling Stone's Lover, FU, MD on the guitar...Those last two photos were taken last year.

My photo

Yos told me in his e-mail that there's not any photo in my blog. So i put this picture, me with the operation clothes and hat. It was taken by my ownself, mobile phone camera. Actually that was designed for MMS, but the line was so bad. The time was a day before Idul Fitri day, 2.oo pm, my second day in hospital (duty day), the last day of ramadhan and no sleep at all at night. I was still worn the operation clothes, it was after an operation and waiting for next patient, a perforation of gaster. But the patient himself couldn't be operated since he got a very high level of Potassium in his blood. The anesthesiologist was refused to do him, because of the high risky. Then we sent him to the ward to reduce his potassium, but then he died at Idul Fitri day, 4.00 pm
Am i looking tired in this photo?
Because at the time i felt very sleepy and tried to smile..

Time to leave

I've just come home.
My seniors, YZ,MD and FU,MD are surgeons now. Both of them pass the final exam. it's time for both of them leaving. we'll miss both of them..
I've told da yev to borrow me his books after his exam...hehe..
Hmm..next tuesday i'll leave padang for bukittinggi. The section exchanged is delayed for a week since we have new section in Muara Labuh hospital. last week i was worried about bukittinggi, can i do it alone? In padang my position is Jaga 1 (First Person) or the first line, accepting patients in emergency. i have 3 junior (2 classes) below me, but four seniors above me. They are, Jaga 2 (2nd person), Jaga 3 (3rd person), Chief Jaga (chief of the duty team) and Chief resident (they represent as our consultant), also there are consultants (our lecturers) who get their own duty day,one consultant, change everyday. In every centre in Indonesia the system of Surgery education is the same, resembling to military system. If we get patient, the most junior report it to the senior that directly above him. like me, i'll report the patient to jaga 2.Below me there are 2 junior who are jaga ikutan (followers) and a jaga 1. But i've already become jaga 1, before he came to Andalas, so if there's a patient he'll report to me .
The decision maker of our team is our chief jaga. But if he hesitates, he'll consult to chief resident. If chief resident hesitates, he'll consult to consultant. But, since we have duty day every 4 days, and i have stayed here more than a year, so i can predict about 90% the final decision (pre operative)
Something that i am worried about is my capability in operation. Though my seniors always said to me, how can you feel affraid, you can do the laparatomy (open the abdominal cavity)..
One of the higher technique of operation is opening the abdominal cavity (laparatomy) and closing it, layer per layer. Other like relating (anastomosing) bowel. Of course i can do a simple laparatomy, but anastomosing bowel well, i haven't any experience. then my seniors said, you have consultant above you directly, so never feel affraid about it..they will do for you
I feel like this one right now, i am a little bird, my mother has taught me to fly, actually i can fly but since this my first time to do it without mom beside me, so i am worried about falling to the ground..it's safe if there is an existence of your seniors (my seniors are my mom).. hehe..
Right now i am not worried about it anymore, it is just about time to leave, standing alone with your own power.
i have news from aceh. My good friend yos (actually his name is syamsul rizal, so from where is yos coming from???) is the staff of department of surgery of Syiah kuala/ Zainoel Abidin Hospital..it was a shocking news for me, but i am happy..finally.. (akhirnya lo masuk bedah juga..hehe..). So there are 5 future surgeons of class of 96's Andalas Medical School, my friend rizki rahmadian in Orthopaedics of hasan sadikin hospital Bandung (he's also new staff of andalas medical school, i hope he will be in our surgery department), Roni Eka Sahputra in orthopaedics of RSCM jakarta, Me and Ari Oktavenra of M.Djamil hospital Padang and Yos in Aceh. four of my friends are married to residents of surgery...
Because of this fact, outsiders always say like this to my class....in 96ers, if you can't be the surgeon, you can be with the surgeon..hehe..
Hey this the day of soccer's training but i write this post. Will my headmaster be angry to me?Osshhh..i'll come to karate's session tomorrow!*

OSH!
P.S.: my friend yos told me to put photos....i'll try. To say you frankly i just have one photo of my face..others are photos of the patients from operation..hehe..
* my headmaster is our karate sensei (teacher)

The life of a future surgeon

When My previous Headmaster told us, me and my friends about the life as a surgeon, he told in these sentences : Surgery is number one, your family is the second. You will also learn about getting less sleep but feel fresh after it.

It has been a year and 4 months. I realize how true is his statement. When I was in orthopaedics section, there was an announcement from the province/regency/city government about being government employee. Since i was in the hospital at that time and the newspapers were sold out, so i decided to borrow my uncle's newspaper. I went to his home and brought the newspaper. later, I realized, my mother showed me the same newspaper with I got from my uncle. so i asked her did she buy it for me, bcoz i'd brought it from uncle's ...then my mother answered that ......I am nuts! Don't you ever know that we subscribe this newpaper??i felt very weak in all part of my body. how couldn't i know about it?Then my mother said, how busy were i that i didn't know the newspaper we subscribe.

It's true.

When i was in orthopedics, the operation start at 7.30 a.m. in the morning, so i have to come earlier, bcoz we have patients in the ward to be visited, then prepare the patient also the operation devices that when your consultant comes, he is just starting with washes the hands, wears the gown, desinfects the operation field and makes incision. Since we have so many patients and i am the youngest/ the lowest level, i write down all of daily reports. sometimes my seniors help me. But it is very rare. Every patient has his/her own problem...sometimes they are 30 patients. Although every each report is written short, but visiting them, getting know their problems, fixing the position of tractions, measuring the length and the width, writing the reports..and you do that alone, will take times 4-5 hours. So i do it after 2 pm, after the legal time, that makes me coming home late, about 8-10 pm. Sometimes i was very tired, i took a nap, then started visiting at 4 or 5 pm or even 9. So i could come home at 11 or 12 pm. at the morning, i have to come earlier too. So i spent times in hospital more than at home. That's why i never know about the newspaper at home...

I passed the test. I am now waiting for my employee registration number.

My schedule in this last 12 days.
Monday 4/3/06, 7.30 am-5.30pm hospital/outside. 5.30-7.30pm home. 7.30-11.30 hospital.11.30-tomorrow home
Tuesday 4/4/06 (duty day) 7.30 am - wednesday 4/5/06 8.30 pm hospital/outside. 08.00-10.30 pm home. 10.30- thursday 4/6/06 7.00 am hospital. 7.00 - 8.00 am home (take a bath). 8.00 am - 7.00 pm hospital. 7.00-tomorrow home
friday 4/7/06 7.30 am-11.30 pm hospital. 11.30 pm-tomorrow home.
saturday 4/8/06 (duty day) 7.30 am - monday 4/9/06 2 pm hospital. 2 pm- tomorrow home
tuesday 4/10/06 7.30 am -6.30 pm hospital/outside. 6.30-9.00 pm home. 9.00-12.30 hospital.12.30-tomorrow home
wednesday (duty day) 7.30 pm- friday 00.30 am hospital. 00.30-10.00 am home. 10.00 am- 7.00 pm hospital/outside.7.00 pm-8.00 pm home. 8.00 pm-12.00 pm hotel rocky (surgery's event)12.00-this time home and type this one..hehe..

Yesterday my colleague ( my junior, but senior in age, a father of a daughter) asked me, with your schedule right now, when is the time for your boy friend? I said I don't have any, I am very busy. I'll have it after "Hari Raya"..

Hari Raya is coming from Hari Raya Jepang (Hari rayo japang), the favorite words of one of my senior if he tried to tell an event that not sure to be happened/never happened..

Then he said, my cousin in Obstetric, is like you too, she's older than you.
Since i was in hurry at the time, i never reply his sentences
So i conclude my life right now in this writing..

I come to Andalas Surgery department as the first woman resident. Aceh, north Sumatra, don't have any. only sriwijaya of palembang has woman surgeon. So Andalas university is the second in Sumatra who has woman member and i am the person who make it happen. Many females avoid to be a surgeon bcoz of the schedule and many doctors, my colleagues always say these words, you should not waste your time by being surgeon, there are other specialists that is not busy.
I think, if you choose something it's not about busy or not busy, but it is about like and dislike. i love surgery, so even there isn't any woman in surgery, i don't mind to be the only one. (though right now it is added one, my junior). I am very busy, most of the times very tired, sleeping is a luxurious pleasure, sometime i have to steal the times of my schedule, still i love it and don't mind about it.
About boy friend, only the crazy ones looking for it, in the end it's about a husband and i am not crazy. I love my surgery, so anyone who wants to be with me has to compromise with it.
My lecturers said that many of women surgeon have divorced.
Still i am walking to surgeon.
I have a confidence, why this could be happen, many divorced, bcoz it is very hard for men seeing their wives just walk out homes and give their men less time. it is a little chance for me to get usual life like others (being mature and married)
I am maybe hard headed, but i don't mine if someday in the future i never find any man who can compromise with my life, that in the end i have to sick alone, died alone, i don't mind. This is my decision and you have to keep your faith. this is my life, the only one i have in this world, so i don't want anybody steal it from me.
So proud of it?
YES, I AM PROUD OF IT
and i enjoy it much.
anyone who read this, this is only my thought, and your idea is your freedom.
Thank for reading
Don't hesitate to criticize
I have to finish this and get sleep
(oops..1.44 am)
Tomorrow is continued baby...

One Last Breath

Tomorrow I will leave Padang for Bukittinggi. I have to prepare myself, but I have many works tonight. Right now I'm listening to Creed's One Last Breath. One of my favorite songs. The others are Breakthrough (Queen), Bring me to Life (Evanessence), Marriage of Figaro (Mozart), Yesterday (a remix of PAS Band), Scar Tissue (RHCP), Sweet Child O'Mine (GN'R), One (Metallica), Coming Closer (L'arc en Ciel). I think there are some to be forgotten, but next time I'll tell about them.
The baby I told you in my previous post were died in the morning. He was very sweet. He was also the nephew of my friend, a resident of Internal Medicine. I was sorry for her.
My intussuseption baby was getting better but it was no longer. Since we have experience in treating him, so my chief of my duty team told us to stay at home and wait for a calling, if his condition is getting worst.
Abut my duty day in saturday night, I made NEW RECORD!
We stayed and had surgery treatments for 46 hours! I have slept about 3 hours. There were so many patients and I even forgot how many of them. Let me count...hmm since I am still sleepy
right now, I can't count them...hehe
When I finished my operation 5 o'clock in the morning, i got call from NICU. My patient is 38 degree Celcius!So I went to NICU and try to reduce his therm. I slept at 5.30am, wake up at 6.30am and sleep again and an earthquake wake me up at 10am. Thank God it was just once.
The biggest fear of an earthquake for us (Padang people) is Tsunami. We are affraid if we get like the Acehnese. I still remember when we experienced so many eartquakes last year (I feel the ground is like a small ship on the sea for almost 2-3 weeks), people always ran to my hospital. So I always feel safe in my hospital, especially the emergency room building. That's why I never feel very worried if there is an earthquake when I am in the emergency building.
Hey, 11.15 pm, okay Jini, stop writing and finish your work.
Bye!
This one last breath for this post.
EEEHHH..

After...

Many things to write.
So many topics.
Which one is the first?
Hmm, about my last duty day at tuesday. We got an intussuseption patient, a 7 month-old male baby. During my pediatrics surgery section, this was the sixth patient i've ever treated, and the most difficult one! my patient has an unstable body's therm. So my team decided to take care of him 24 hours in NICU (Neonatal and Infant Intensive Care Unit) and make a shift. Since I am in the pediatrics, so I got shift more than others. I think i spent most of my time in hospital longer than in home per day. Tired, very tired. Like today, i arrived at hospital at 7 am dan back home at 11 pm. My other patient, a post operation of Hernia Diaphragmatic got trouble this afternoon, he wasn't able to breath. The last decision was re-intubated him . I hope this work. I left him to my other friend.
To say you frankly, i don't like seeing kids in pain, very sick state..that's why i never intersted in being a pediatrician. But as a resident of general surgery, i have to learn pediatrics' disease. And of course have to contact with kids..
Again, i hope both of my patient are okay tonight..
(Sigh) tomorrow is my duty day again and i have a paper to finish. this time is 0.19 am. May Allah blesses me with good health and endurance tonight..
Continue about the rumours i've told before, finally it was proven not true. Our duty day is still every four days. But I got another shock story. I am going to bukittinggi! In bukittinggi i will work alone with no senior above me. Oh god, I got stomache when my senior told me about it. Can i do that alone? I never spend my time in urologic and oncology. God, blesses me with your power! And...Ganbarre! (Somebody out there, please say to me, ganbatte kudasai...)
Soushite, enough for today. i want to write down my paper, as soon as possible, because i need more sleep to face my duty day tomorrow. Having duty day in emergency room on saturday night means having an extra energy, bcoz so many accidents in the road (most of them got drunk and this is the point why i hate drunkard.)
Bye.
No energy in my writing?
Yup, that's true.
I am tired.
But have many works.
I have to be strong.
Hahaha..
Sayounara

Rumours

I've just come home. The operation took times shorter than I was predicted before. Tomorrow will be the last day for my COC (Chief of the Chief) and the other chief resident, YZ,MD and FU,MD to have Hospital's duty (Hmm, formally is still their job). They are going to face a national examination, the profession's examination. Will be held on this April 2006. If they pass the test, both of them will be called as surgeons. May Allah Makes their path easier. Amin.
And also.......rumours! Our emergency duty day will be every 3 days! God!
Let me explain our schedule. Everyday, from 7-14.00, is the legal working hours.If we have an emergency duty day, it means from 7 o'clock today to 7 o'clock the day after today, every single patient that status as surgery's patient who comes to emergency IS YOUR DUTY. Duty means you do the patient from pre-operative to post operative. Of course, you also do the operation in Central Operation theatre that is scheduled a day before or go to Surgery's Clinics. So that's why, if i have a duty day, I'll spend my times for almost 2 days in hospital, with less sleep. Sometimes just 30 minutes. I always come home with just one idea, MY BED I MISS YOU!Hehe..
Outside this legal schedule, we have karate's session, every wednesday (7-9 PM) and every sunday (7-9AM), Badminton every tuesday and friday from 10 PM-end (usually 1 AM), and soccer every saturday from 4-6.30 PM. I just follow the karate (if i have the duty day, i miss this session). When i was in the 1st semester, i used to play badminton. But since i have to come home very late, my seniors told me to go home earlier for the sake of safety in road(they were very kind to me, maybe bcoz i'm the first woman resident..or just bcoz i'm woman?). When i was in Orthopeadics, i didn't have much time, so i never came for badminton. Soccer? My headmasters told me is very good if i can play soccer. He dreams of having a woman in our soccer team. I'm so sorry that running is my weaknesses...
the most juniors (first semester) are having duty day for every 2 days. i was counted my times when i was 1st semester, it is the same with worker, who work 7 days in a week, per day is 17-18 hours working. Can you imagine how busy were i at that time? And it was also added with the session (at that time karate was not existed yet). Very busy and tired...my bed is my heaven.
So if this rumours is right, what's the idea coming to your head about our life. Living with surgery is a very busy life..Surgeons said surgery is the 1st, family is the 2nd. (It is very mean, isn't it?)
But still, i love this work so muuuccchhh....

8.00 PM in Emergency Operation Theater

Hey, this the first day of my blog. And...............I can wait to fill it with my own writings!!! I want to write more.... But I have a schedule. 8.00 PM in Emergency Operation Theater. I just came home at 5.30 PM, after 10 hours in hospital. Tonight, there is another operation. I don't know how long it will take times. Tomorrow will be my Emergency duty day (every 4 days). I can stay in hospital for almost 2 days, always with no sleep at the first day. Yeah, this is my life. ..BUT I LOVE THIS WORK SO MUCH.

Ichi

Ichi means first.Ciek in minang languange.Hiji in sundanese. This the first.The first of me to have a blog.Ganbarre!